April Newsletter
April, 2023
Welcome to the April newsletter. This newsletter aims to provide information and analysis of timely topics from recent articles published in the medical literature. I hope you find this information useful and helpful in your health journey. If you have comments or questions, please let us know. I hope you enjoy these articles!
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This month we will look at two extensive topic reviews. The first topic is the relationship of exercise and physical activity to anxiety, depression, and psychological distress. We cover the type and intensity of exercise that should be done in regard to specific conditions. Then we cover sugar and the specific medical conditions associated with various amounts of sugar consumption. Finally, cardiovascular disease is a progressive disease over many years. But it may surprise you how early it actually starts!
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Outrun the Blues!
Can you outrun your depressed mood? Are we able to exercise away our 
anxiety? If so, how much exercise do we need to do? What type of exercise 
should we do? How long should we exercise? How hard should we exercise? 
It's the Sugar!
How much sugar do you consume daily? Are you above or below average? How much sugar does our government say is fine? What diseases are associated with sugar intake? How much can we improve our risk with a 
reduction in sugar intake? 
How Early Does it Start?
We know that a mother’s health affects her baby during pregnancy. We all know alcohol or drug intake can negatively impact a baby’s health. But what about heart disease, the number one killer in the world? What does a mother’s health have to do with heart attacks in her child? How does being born preterm affect the risk of heart disease?
To Your Health...
Thank you for taking the time to read through this newsletter. We hope you have found this information useful. Feel free to pass this on to anyone you think would benefit from this newsletter.

Mark Niedfeldt, M.D.


Old-fashioned medicine with 21st Century convenience and technology